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Clinical Trials/NCT03684863
NCT03684863
Not yet recruiting
Phase 2

Randomised, Multicenter Phase II Study in Patients With HER-2 Positive Breast Cancer With Capecitabine Versus Observation With Pathologic Residual Tumors After Preoperative Chemotherapy

Shandong Cancer Hospital and Institute0 sites200 target enrollmentOctober 2018

Overview

Phase
Phase 2
Intervention
Capecitabine
Conditions
HER2-positive Breast Cancer
Sponsor
Shandong Cancer Hospital and Institute
Enrollment
200
Primary Endpoint
disease free survival(DFS)
Status
Not yet recruiting
Last Updated
7 years ago

Overview

Brief Summary

This study is designed to investigate the efficacy and safety of capecitabine, as a postoperative adjuvant chemotherapy, for HER-2 positive breast cancer patients who have pathologic residual cancer cells after the preoperative chemotherapy.

Registry
clinicaltrials.gov
Start Date
October 2018
End Date
December 2025
Last Updated
7 years ago
Study Type
Interventional
Study Design
Parallel
Sex
Female

Investigators

Sponsor
Shandong Cancer Hospital and Institute
Responsible Party
Principal Investigator
Principal Investigator

Zhiyong Yu

Director of the Breast Surgery Ⅰ

Shandong Cancer Hospital and Institute

Eligibility Criteria

Inclusion Criteria

  • Female patient with primary, infiltrative breast cancer who has been diagnosed on a histological basis.
  • Stage I-IIIB at the first diagnosis and underwent curative resection.
  • The patient was non-pCR after preoperative chemotherapy including anthracycline agents; that is, she had undergone primary tumor resection and pathologically confirmed to have residual cancer cells. The previously adminstered preoperative chemotherapy must have involved at least four cycles of anthracycline agents. However, even if anthracycline regimen is shorter than 4 courses, the following regimen can be registered.
  • FEC 3 courses (EPI\>=100mg/m2)+Docetaxel 3 courses and trastuzumab 3 courses.
  • TCH only over 6 courses
  • The patient has been confirmed to be HER2 positive. etc.
  • The patient's general performance status is 0 to
  • The patient must have no carry-over of efficacy from any previous treatment.
  • The patient has maintained sufficient organ function to permit valid evaluation.
  • The patient must have no adverse drug reactions of grade 2 or higher carried over from previous treatment.

Exclusion Criteria

  • The patient is considered to require postoperative chemotherapy other than capecitabine.
  • The patient has previously been treated with oral 5-FU agents (however, previous treatment with iv 5-FU is acceptable).
  • The patient has either simultaneous or non-simultaneous bilateral breast cancer.
  • The patient has a history of other malignancies or synchronic multiple cancers. However, lesions corresponding to carcinoma in situ or intramucosal carcinoma healed by topical therapy are eligible.
  • The patient is pregnant, has the potential and/or wishes to become pregnant, or is breastfeeding.
  • The patient has previously had an organ transplant.
  • The patient shows hypersensitivity to fluoropyrimidine agents; has previously suffered severe adverse drug reactions with fluoropyrimidine agents; or has a history of serious hypersensitivity to LHRH analogs, tamoxifen, letrozole, anastrozole, and/or exemestane.
  • The patient is currently suffering from serious complications or associated disorders, such as malignant hypertension, congestive heart failure, coronary failure, arrhythmias requiring treatment, infectious diseases, and/or hemorrhagic tendency, and/or has suffered a myocardial infarction within the previous 6 months.
  • The patient has a fever, and there is the possibility that she has an infection.
  • The patient has been shown to have metastasis to other organs.

Arms & Interventions

capecitabine

Intervention: Capecitabine

Outcomes

Primary Outcomes

disease free survival(DFS)

Time Frame: 5 years

To determine the percentage of disease-free survival (DFS) for the capecitabine monotherapy arm or placebo arm.

Secondary Outcomes

  • overall survival(OS)(5 years)
  • medicine safety(5 years)

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